RUSSELL CARLSTON

HOLDREGE, NE
NPI1710369095
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: NE  369)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-06-23
Last Update Date2024-07-26
Business Address
Dr. RUSSELL CARLSTON D.P.M
1315 TIBBALS ST
HOLDREGE, NE 68949-1257
Phone number: 308-995-2211
Mailing Address
Dr. RUSSELL CARLSTON D.P.M
1215 TIBBALS ST
HOLDREGE, NE 68949-1261
Phone number: 308-995-2211